Bronchoscopy Report Template

ICU BRONCHOSCOPY PROCEDURE NOTE                                                         

  • OPERATOR:
  • ANESTHETIC:
  • PROCEDURE:  Flexible bronchoscopy
    • Scope: Evis Exera II (2.8)
    • Position:   Supine
    • Intubation site:  ETT
  • INDICATION:  Pulmonary toilet/mucous plugging/BAL sampling
  • FINDINGS:
    • Trachea:
    • Main carina:   Sharp
      • Left Mainstem Bronchus:
        • LUL:
        • LLL:
      • Right Mainstem Bronchus:
        • RUL:
        • Rt bronchus intermedius
          • RML:
          • RLL:
  • SPECIMENS: BAL: 30cc x 3 (location: )
  • COMPLICATIONS:   None
  • IMPRESSION:   Bronchoscopy :
  • PLAN:  Sent BAL for C&S/gram stain/fungal/viruses/Legionella/Mycoplasma/AFB/PJP

– Copy & paste the above report into the Powerchart Advanced Clinic Procedure Note

– Pictures from the USB attached to bronchscopy cart can be added to the Powerchart Advanced Clinical Note

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Bronchoscopy Record